Fill out the following form to sponsor a child. Cost of sponsorship is $35 monthly. We will contact you with information about your sponsored child shortly. (Fields marked with an asterisk * must be filled in)

Name *

First Name Last Name

Email *

Mailing Address *

Street Address

Address Line 2

City State/Province/Region

Zip / Postal Code

Phone *

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Boy/Girl

Select a boy, girl or child of most need. Note if you want to sponsor more than one child, please let us know in the comments section below.

Special Instructions

Orphan that lost both parents to AIDS

Child that lost one parent to AIDS

Child of most need

Transition fund (Cover kids that sponsors can no longer support until we find a replacement sponsor.)

Select if you have special interests in any of the above. Note if you want to sponsor more than one child, please let us know in the comments section below.

Desired Age Range

Select if you want a child of a specific age range. Note if you want to sponsor more than one child, please let us know in the comments section below.